Insurance Quote Request

Thank you for giving us a chance to earn your business – I’m sure you’ll be glad you did.

As you might expect, We’re going to need to know a little bit about you to make sure you’re covered properly and receiving the best possible value.

So if you would, tell us a little bit about your needs. We’ll be in touch with you shortly to answer any questions you might have, ask a few ourselves, and provide you with a no-obligation insurance quote.

Sincerely,

Brian Van De Hey
Brian Van De Hey Insurance & Financial Planning

Easy to contact staff, very knowledgeable staff, experienced in combing a variety of insurance companies to meet my needs at a reasonable price.

Mary Stutleen

We’ve been with Van De Hey Insurance for a number of years now and couldn’t be more pleased. Very good people to do business with. Would recommend them to my friends.

Dan Danen

Been a customer of Brian’s for 20+ years and have always received prompt service and advice. I look forward to another 20 years… He makes you feel like family and remembers details well.

Paula Stark

You have always had a good experience dealing with Brian and his staff. They have provided us with good insurance that fit our needs and at the right price.

John Van de Ven

We have been using Brian Van De Hey Insurance since I was a young child. They have always offered wonderful service to my parents so when my husband and I bought vehicles, homes and had little ones, there was no question which company we would use for our insurance and investment needs. They are very attentive to our needs and their follow up is superb. I highly recommend them as a company and wonderful people!

Abbie Aerts Potts

Top notch! Brian handles all of my business, homeowner’s, and personal auto insurance. He and his staff go above and beyond. I highly recommend them!

Ryan RosenbaumAshwaubenon, Wisconsin

Their rates and services have been excellent.

Warren Haganes

As my wife and I were about to be married, we first bought a house. She recommended I call Brian’s office and get a quote for home owners insurance. Sarah was very efficient in helping us along with Brian. He shopped our needs and found us a reasonable home, auto and umbrella policy.

Kelly Herlache

I would highly recommend Brian Van De Hey Insurance. We have had all of our insurance through him for over 20 years with the best prices around. Brian and his employees are very professional and friendly always willing to help with all our needs. Great to know we have an insurance agency that truly cares.

Jeanne Honzik

Brian Van De Hey Insurance Agency has handled our insurance for over 30 years. The staff is very knowledgeable and willing to go above and beyond when we have questions on our policies We have saved a lot of money compared to other agencies. Claims are paid quickly. I would highly recommend this agency for your insurance needs.

Mark Honzik

Interest

Type of Insurance*

Auto Insurance

Homeowners Insurance

Other Insurance (Boats, ATVS, etc)

Business Insurance

Life Insurance

Health Insurance

Financial Planning

Request Type

Appointment Request

Choose "Appointment Request" if you simply want to sit down and talk.

Preliminary Quote Request

Choose "Preliminary Quote Request" If you're comfortable sharing a little more about yourself and your needs, it will speed-up the process of preparing a quote for you, possibly allowing us to have a preliminary quote ready when we first contact you.

Request Type*

Appointment Request

Preliminary Quote Request

Contact Information

Name*

FirstLast

Address

Street AddressAddress Line 2CityStateZIP Code

Email*

Phone

Auto Insurance

Number of Vehicles

Vehicle #1 Year

Vehicle #1 Make

Vehicle #1 Comprehensive

Vehicle #1 Collision

Vehicle #2 Year

Vehicle #2 Make

Vehicle #2 Comprehensive

Vehicle #2 Collision

Vehicle #3 Year

Vehicle #3 Make

Vehicle #3 Comprehensive

Vehicle #3 Collision

Vehicle #4 Year

Vehicle #4 Make

Vehicle #4 Comprehensive

Vehicle #4 Collision

Liability Coverage (All Vehicles)

Low (State Minimum)

Medium

High

Number of Drivers

Driver #1 Name

Driver #1 DOB

Driver #2 Name

Driver #2 DOB

Driver #3 Name

Driver #3 DOB

Driver #4 Name

Driver #4 DOB

Home Insurance

Year Built

Total Square Feet

Home Value

Deductible

Year of Last Roof Update

Do you have any of the following?

Wood Stove

Swimming Pool

Dog (specify breed in Additional Notes)

Trampoline

Are you interested in a quote for Flood Insurance?

Yes

No

Are you interested in a quote for Umbrella Insurance?

Yes

No

Other Insurance

Other Insurance

Other Items to Insure

ATV/UTV

Boat

Motorcycle

Camper/Trailer

Snowmobile

Business Insurance

Business Name

Business Description

Business Address

Street AddressAddress Line 2CityStateZIP Code

Website

Life Insurance

Type of Life Insurance

Date of Birth

Smoker?

Yes

No

Health Insurance

Type

Do you qualify for a subsidy under the Affordable Care Act?

County

Contact Preferences

Preferred Method of Contact*

Preferred Time of Contact

Additional Notes

Quick Question

Where did you learn about our agency?

We're always curious as to how people learn about our agency, and many times it's through more than one source. So if you would, let us know which sources influenced your decision to contact us.